Diarrhea:introduction of its pathological reasons,syndrome differentiation and common syndromes.
✵Diarrhea disease:Diarrhea is a diseased condition characterized by abnormal frequency and liquidity of fecal discharge; it is also known as xiè xiè. In general, diarrhea is a disease of spleen and stomach, its syndromes varies, in general diarrhea is due to spleen and stomach.
Diarrhea (xiè xiè).
Diarrhea is a diseased condition characterized by abnormal frequency and liquidity of fecal discharge; it is also known as xiè xiè.
Diarrhea, in general, it is a disease of spleen and stomach, its syndromes varies, in general diarrhea is due to spleen and stomach.
Ancient classical works Nei Jing (the Inner Canon) recorded, "heavy dampness inducing diarrhea".
The spleen is affected by pathogenic dampness, and leads to diarrhea, one feels thirst, borborygmus (sounding in the intestine), abdominal pain, hot urination and red urine, defecation is uninhibited, such diarrhea is due to dampness.
Internal reasons: the endogenous and exogenous pathogenic factors hurt spleen and stomach, disorder of gastric Qi, disorder in transportation and transformation, unable to distinguish between the clear and the turbid, Qi flows downward and develops to diarrhea.
In general, common reasons are including dampness heat, dampness and cold, indigestion, spleen deficiency, kidney deficiency, etc.
External symptoms: various syndromes of diarrhea, observed with various symptoms, in general, except diarrhea, there are thirst, red urine, clear urine, acid swallowing, fullness in chest, stuffiness, poor appetite, frequent urine, pale complexion, etc.
Different syndromes of diarrhea: there are various syndromes of diarrhea, five syndromes of diarrhea from Nan Jing (the Difficult Classic), five syndromes of diarrhea from Nei Jing (the Inner Canon), other syndromes of diarrhea, difficult syndromes of diarrhea and incurable syndromes of diarrhea, these various syndromes of diarrhea are introduced.
Various syndromes of diarrhea from Nan Jing (the Difficult Classic).
Ancient classical works Nan Jing (the Difficult Classic) recorded five kinds of diarrhea syndromes, they are stomach diarrhea (gastric diarrhea), spleen diarrhea (the splenic diarrhea), large intestine diarrhea, small intestine diarrhea, dysenteric diarrhea (acute temesmus); these syndromes are introduced:
Stomach diarrhea (gastric diarrhea): indigestion of food, defecation is yellow; it is also known as wèi xiè;
Spleen diarrhea (the splenic diarrhea): distension in abdomen (abdominal fullness), heaviness, obstruction in the middle part of gastric cavity, yellow complexion, vomit after taking diet; it is also known as pí xiè;
Large intestine diarrhea: feel depressed after taking diet, excrement is white, borborygmus (sound in intestine), cutting pain; it is also known as dà cháng xiè;
Small intestine diarrhea: pain in urination, purulent hematochezia (pass purulent matter), pain in the lower abdomen; it is also known as xiǎo cháng xiè;
Dysenteric diarrhea (acute temesmus): tenesmus (rectal tenesmus), frequently going to washroom but cannot defecate, pain in the external genitalia; it is also known as dà jiǎ xiè;
Various syndromes of diarrhea from Nei Jing (the Inner Canon).
Ancient classical works Nei Jing (the Inner Canon) recorded five kinds of diarrhea syndromes, they are lienteric diarrhea, stool with thick mucus, cold diarrhea, watery diarrhea, lingering diarrhea; these syndromes are introduced:
Lienteric diarrhea: it is known as sūn xiè, affection of pathogenic dampness and wind, aversion to wind and spontaneous perspiration, spleen insufficiency induced by stagnancy of liver Qi, dyspepsia and diarrhea with undigested food, watery stool containing undigested food, borborygmus (rborygmus, sounding in intestine), abdominal pain.
Stool with thick mucus: it is also known as cháng gòu, affection of pathogenic dampness and heat, pass down dirt in intestines, excrement is thick and sticky, pain in urination, urine is reddish, polydipsia (morbid thirst), thirst;
Cold diarrhea: it is also known as wù táng, affection of pathogenic dampness and cold, the excrement is clear and cold, dark, the excrement is similar to water, looks similar to duck manure, the urine is whitish;
Watery diarrhea: it is also known as damp diarrhea, shī xiè, rú xiè, affection of pathogenic dampness, mainly due to spleen deficiency, diarrhea with much clearer liquid, borborygmus (rborygmus, sounding in intestine), somatic heaviness (heavy body), urination is short.
Lingering diarrhea: the lingering diarrhea is also known as huá xiè, domination of pathogenic dampness, Qi deficiency. Excrement pass down in big volume, directly and incessantly; and the diarrhea is chronic and not relieved in long days.
Other syndromes of diarrhea.
Except the various diarrhea recorded in the Nei Jing (the Inner Canon) and Nan Jing (the Difficult Classic), there are various other syndromes of diarrhea: wind diarrhea, dyspeptic diarrhea, phlegmatic diarrhea, water diarrhea, diarrhea due to fire-pathogen, summer diarrhea, alcoholic diarrhea, lienteric diarrhea at dawn, deficiency diarrhea, kidney-insufficiency diarrhea, splenorenal diarrhea, chronic diarrhea, etc. These syndromes of diarrhea are introduced:
Wind diarrhea: the wind diarrhea is also known as fēng xiè, aversion to wind, spontaneous sweating, one is hurt from wind in spring, and affection of dampness in summer, sudden diarrhea, or with clear blood;
Dyspeptic diarrhea: the dyspeptic diarrhea is also known as shí xiè, shí jī xiè, jī xiè, shāng shí xiè, dyspeptic diarrhea (shuǐ gǔ xiè), diarrhea with undigested food in the stool (xià lì qīng gǔ); pass diarrhea when there is abdominal pain, pain relieves after defecation, pass smelly and odoriferous excrement, the smell is similar to rotten eggs, fullness sensation in the chest, stuffiness and congestion, eructation with fetid odor, acid swallowing;
Phlegmatic diarrhea: the phlegmatic diarrhea is also known as tán xiè, more or less, pass down spumous excrement, chest distress, poor appetite, the dampness accumulation generates phlegm, and stays in the lungs, in a long period one has lassitude;
Water diarrhea: the water diarrhea is also known as shuǐ xiè, the borborygmus (rborygmus, sounding in intestine) is like thunder, diarrhea passing down and mainly is liquid;
Diarrhea due to fire-pathogen: it is also known as huǒ xiè, or rè xiè, or sudden diarrhea, it often happens in summer, diarrhea suddenly flows down, its color is sallow brown, filthy and smelly, pain in the abdomen, borborygmus (sounding in the intestine); dryness in mouth, one wants to drink cold water, polydipsia (excessive thirst, morbid thirst), red urine and painful urination, pains lasting a while, diarrhea for a while, still pains after the diarrhea, heat and pain in the anus, or sometimes there is diarrhea with vomiting, colic pain in the heart and abdomen.
Summer diarrhea: the summer diarrhea is also known as shǔ xiè, affection of pathogenic heat in summer, except diarrhea, often observed polydipsia (excessive thirst, morbid thirst), red urine, spontaneous perspiration (spontaneous sweating), dirty complexion (facial appearance looks dirty), sudden diarrhea is similar to water;
Alcoholic diarrhea: the alcoholic diarrhea is also known as jiǔ xiè, or diarrhea of liquor, diarrhea of wine, mainly due to drinking too much wine, there is retention, or drunk, one gradually turns thin and slim, no appetite (cannot take food).
Lienteric diarrhea at dawn: the lienteric diarrhea is known as sūn xiè, the food which is taken at sunset and night cannot be digested, diarrhea in the next morning, it is a little different from lienteric diarrhea, mainly due to food intake at sunset which cannot be digested.
Deficiency diarrhea: the deficiency diarrhea is also known as xū xiè, diarrhea due to deficiency, lassitude and lacking strength, poor appetite, slight loose stool, and also slim.
Kidney-insufficiency diarrhea: the kidney-insufficiency diarrhea is also known as shèn xū xiè xiè, or shèn xiè, morning diarrhea (chén xiè), it is mainly due to kidney deficiency, chronic diarrhea occurring before dawn daily, loose stool, accompanied by abdominal pain and borborygmi, aversion to cold and cold limbs (cold in feet), retention of food and drink, pass diarrhea once in several days, there is abdominal distension.
Splenorenal diarrhea: the splenorenal diarrhea is also known as pí shèn xiè, mainly due to deficiency of spleen and kidney, diarrhea in the morning and gets relieved at sunset, in long days, one turns lassitude and thin.
Chronic diarrhea: chronic diarrhea is also known as jiǔ xiè, diarrhea is incessant (unstoppable), cold in hands and feet, spit out purulent matter, it is difficult to relieve, there is old retention stagnant in the stomach and intestines.
Qi diarrhea: the diarrhea is due to Qi stagnation, there is stuffiness in abdomen, after diarrhea, there is still stuffiness.
Hepatic diarrhea: the hepatic diarrhea is also known as gān xiè, the liver is hurt from anger, cold in limbs (cold in arms and hands, legs and feet), facial complexion is blue-green, hypochondrium fullness;
Diarrhea of recto-urethral fistula: it is also known as jiāo cháng xiè, the excrement and urine pass down from different location.
Diarrhea of rectum: it is also known as zhí cháng xiè, one takes food and drink, after a while, pass down diarrhea.
Difficult syndromes and incurable syndromes of diarrhea.
There are difficult syndromes of diarrhea and incurable syndromes of diarrhea, these diarrhea syndromes are difficult or incurable.
References:
1.Diarrhea:introduction of its pathological reasons,syndrome differentiation and common syndromes.
2.Nei Jing (the Inner Canon).By 黄帝(the Yellow Emperor).
3.Nan Jing (the Difficult Classic).By 秦越人 (Qín Yuèrén)
4.Jin Kui Yao Lue Fang Lun:the Synopsis of Prescriptions of the Golden Chamber.By 张仲景(Zhāng Zhòngjǐng),王叔和(Wáng Shūhé),林亿(Lín Yì),高宝衡(Gāo Bǎohéng).
✵Diarrhea disease:Diarrhea is a diseased condition characterized by abnormal frequency and liquidity of fecal discharge; it is also known as xiè xiè. In general, diarrhea is a disease of spleen and stomach, its syndromes varies, in general diarrhea is due to spleen and stomach.
